Organization Active NPI

Janet D. Constantine PL

  • Adult Mental Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1124441175
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH 3146 Issued in FL
Legal business name
JANET D. CONSTANTINE PL
Practice address
9822 Tapestry Park Cir
Suite 206
Jacksonville, FL 32246-9258
Phone
(904) 637-1708
Fax
(904) 207-7897
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janet Dianne Constantine, LMHC CET IINPI 1245653294
Title
President
Phone
(904) 637-1708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH 3146 FL Primary

Addresses

Primary practice location

9822 Tapestry Park Cir
Suite 206
Jacksonville, FL 32246-9258

Mailing address

9822 Tapestry Park Cir
Suite 206
Jacksonville, FL 32246-9258
Phone (904) 637-1708

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1124441175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 TAPESTRY PARK CIR",
            "address_2": "SUITE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469258",
            "telephone_number": "904-637-1708",
            "fax_number": "904-207-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 TAPESTRY PARK CIR",
            "address_2": "SUITE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469258",
            "telephone_number": "904-637-1708",
            "fax_number": "904-207-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET D. CONSTANTINE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-637-1708",
        "authorized_official_credential": "LMHC   CET  II"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH  3146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.